A light bulb built in 2012 will last for 1000 hours. A light bulb built in the 1890s has been on in a Livermore California Fire Station for over 970,000 hours (and is still going).
Here is a bit of its story as told by Dick Jones retired engineer and member of the Livermore Centennial Light Bulb Committee.
The Centennial Livermore Light Bulb was installed in 1901. How long did it take before someone realized it was something significant? ………….. read the whole story here.
100 yeas ago, when America’s dreams were that of bunch of diverse foreigners seeking a future, opportunity stood at every door. When today’s corporate giants, created a Corporatocracy they slew the dragons defending freedom and personal opportunity. In so doing they also cut down the tree of dreams and its fruit of success! Look at one fledgling growing nation, India, to see how it is struggling to overcome the same challenges we face! Corporations temporarily prosper on slave labor and beating square pegs into round holes, but all stale ideas grow mold and die like week old bread. See the opportunity for prosperity through Indian Eyes! (English subtitles for our possible third world nation).
API News, Warsaw, Poland. October 8th 2014, Cabinet for Reform, Organization and Open Cooperative Services meeting, by Janr Ssor
The American health Care financial dilemma turns a new corner as the results of a covert experiment to provide basic health care to unemployed Americans proves successful! The meeting, last Friday night, of the Obama supported Cabinet for Reform, Organization and Open Cooperative Services weekend was kicked off by keynote speaker, Bill McQuire. Bill is the past CEO of United Health Care. Bill reviewed how his leadership of UHC turned the company around from lack luster performance to strong profitability. Bill explained how his powerful managed care policy was so successful that he was allowed to receive a 2.5 Billion dollar bonus after just 5 years of work and still able leave UHC far more profitable than when he arrived. Mr McQuire, who now lives on his own Island near Fiji, explained how restricting unlimited access to health care for those who are inevitably terminally ill can produce enormous profits while allowing for greater respect for the normal cycle of life and death. He reminded the group that one percent of the population accounts for 30 percent of the nation’s health care expenditures. Nearly half of those people are elderly. Bill assure us that, under the political and financial pressures of our era, it was possible to push these “reform” changes on the senior American population with out expectation of significant resistance.
Outsourcing At No Expenses! Presentations at the gala event were mostly financial. A team of Wharton MBA’s demonstrated the clearly repeatable profit growth of current health insurance companies achieved by outsourcing company data gathering, input and analysis to unpaid employees. The chief speaker for the Bureau of Accountable Statistics on Health (BASH), Weehl Getsworth, from South Carolina, graphically illustrated the value of outsourcing by demonstrating the significant growth in net insurance profits (before executive and CEO salaries) by showing 4 huge timeline surges in profits. The profit peaks first occurred in Bill McQuire’s era as denial became a clear policy and subsequently when ICD 9 coding began, EMR medical records were forcefully required of American health care practitioners and finally have again begun an upward trend with the inception of ICD 10 coding and ACOs. Speaking on behalf of of the Bureau, Mr. Getsworth explained that the industry had been able to move a huge volume of its employee paper work out to India at first where salaries, at the time, were viewed as slave labor. However with the rise in India’s salaries another source had to be found. Thanks to the research mostly catalyzed via Obama’s cabinet, the work done by indian factory employees has now moved directly into the doctor’s offices via EMR.
As part of his program for health care reform, Mr. Getsworth showcased the early research demonstrating that doctors were easily twice as qualified as the best staff trained employees for doing insurance data entry. By forcing doctors into EMR, the full work load of data entry, was moved from the insurance company Indian staff (now greatly reduced) to the doctors computers during their examination process. He reminded the audience how years earlier no one could conceive of busy doctors taking almost 30% of their patient time to do data entry. He reiterated his 10 year earlier prediction that not only could legal pressure make this possible but forced health care “reform” would make doctors do it and even have them pay for this “opportunity!” The verification of this earlier prediction brought down the house with applause as it was clear that health care providers all over America were indeed doing all the data entry for insurance companies and even paying out of their reduced fees for that opportunity.
The final presentation, by Dan Warbucks, described the vision for the rapidly growing number ACO’s in America. Mr Warbucks described the plan to use regulation and the reform platforms momentum to make physicians of all types accountable to organized medicine. Insurance companies, using the managed care model, would now not only be more profitable via appropriate denial of service and outsourcing but now could shift all the financial risk over the service providers, if they could be sold on the ACO model. It was clear that the well paid leadership of ACOs and PCMHs could enthusiastically motivate providers to join in the common risk pool by rosy predictions for positive financial outcomes. This development could be assured as long as the top ACO executives could be paid on a guaranteed salaried basis and adequate yearly bonus, which they could name for themselves, while the providers would have to rely on the capitated risk pool and denial of services as Bill McQuire has so well demonstrated.
In a closing statement, Bill McQuire, shared exciting motivational information! Bill described a historical opportunity to purchase unique lavishly furnished homes, on your own private island, from a chain of islands available for purchase through his Fiji real estate company, B. Movement Opportunities. He said, BM Opportunities is awaiting the next generation of Health Care CEOs whose good fortune, to profit from the new health care reform, would make his financial achievements pale by comparison.
Janr Ssor, reporter for API News.
API News is a subsidiary and product of research and development via TIC news (Tongue In Cheek). API is also a creative work of JanrSsor.com on behalf of the medical community, whose doctors, as nerds, are unable to see outside the box they live in.
OBAMACARE /ACCOUNTABLE CARE: A doctor with years of success and experience told me that “Accountable Care,” the center piece of ObamaCare, is a name created by congressmen who sit live in palatial royalty while their constituents clamor for crumbs! Is that true? The elderly doctor reminded me that theories of healthcare management are nothing but, dreams and hype to sell at election time! He reminded me to follow the money trail and notice that it paid off those who elected the congressmen, the insurance companies. It did so by putting all the “financial risk” of the experiment on doctors while guarantying the financial rewards to ‘insurance companies.” It was, he said, “like legalized gambling in a Casino that rigged the tables.” It ruined many nights of my sleep because I knew this man and he had credibilty.
CHANGE AS OF 2014: As of the year 2014, a large percentage of ObamaCare is affecting medical practices of all types. The majority of doctors are no longer writing on paper but using EHR (Electronic Health Records). Tedious, often slow and unreliable for now, it is quickly becoming the legally required standard. If a doctor doesn’t use it they will certainly not get paid easily for insurance claims, if at all! Is this the dreamed of efficiency that saves us money? Most doctors surveyed said it made their exams 30% slower. They were clearly less efficient!
RUSHING INTO DATA EXCHANGE, THE NEXT PHASE?: The imagined economy of ObamaCare is an exchange of data that prevents the current very real duplication of testing that at times exists in medical care. Not a bad “idea;” but, is it likely to work? Since I am an eye doctor in addition to being a writer, I chose to look at my profession and get a view from my colleagues eyes. It was not encouraging, at least at this point in time. Why? It is simple to explain.
EHRs do not contain the full information of complex testing and technology print outs, they currently contain the summaries. So much data of importance is lacking. On the other hand, they are bloated with miles of garbage produced to satisfy the demands of courts and lawyers rather than patient needs!
If a patient has a test that produces many pages of data with images (such as repeat vision fields, which is a tedious and somewhat unreliable test for Glaucoma), all the pages are almost never stored in EHR records. Much is stored in the testing machines memory. Furthermore the quality of the test (as with many tests) may frequently be questioned as the patient may have a bad day, the technician may have been preoccupied with other issues, and the doctor may have missed something in reading them (they too are human). If ONE test is the requirement and its detailed pages, test environment, other related events are not available, is the currently available “essence” of this whole process all we need to share? Will this create better out comes or more frequent law suits?
There are many other tests used by eye doctors that meet this criteria for failure such as: OCT (Optical coherence tomography), HRT (Heidelberg Retina Tomography) all complex imaging tests. Even simpler tests such as: An extended opthalmoscopy, Biomicroscopy, or Fundus photography! Almost never is the full data store in EHR. As a result, sharing the data between doctors means sharing and duplicating and error becomes highly probable!
In the future as data storage and retrieval becomes more encompassing this significant challenge may be overcome, but for now, rushing into data exchange is only likely to be unreliable and dangerous to doctors and patients!
EXAMPLES FROM A REAL WORLD: Years ago accountants told GM to take out the operable rear window in their passenger cars and make its opening an “option.” GM mindlessly did this and it cost them a significant bit of their reputation. Just recently a patient in my office, told me a story of Government Vision and Success! I was excited to hear this as I felt landing the moon over 40 years ago with no progress of significance since was what I expected of our government. He told me our congressmen had spent BILLIONS of dollars creating a water treatment plant for NYC. He told me it would create the best quality water the world had ever seen! He was enthusiastic about the technology they employed and the excellence his workers had provided in building it. I was amazed! He then said, “there is one caveat doctor. After we take this water and make it into the most pristine water the world has ever seen, it flows out into an open pond on its was to NYC, where birds shit in it each day.” Now this is something I can believe comes out of congressmen whose financial liability is nothing like that of private business. They don’t worry about if it works; but, they do concern themselves with who gets paid off! Does anything work for data exchange? Sure! For now if you have the same software in the same facility, yes; with the caveat that you have access to off-line storage in the same machine (that is not on ehr). So, if you are a hospital or a large medical group, your doctors could exchange some data and get the rest of machines they can access.
What about doctors not in the same group or in a hospital? Well faxed reports are still viable and work! When an eye doctor faxes a report to a pcp regarding diabetes or atherosclerosis that information can be incorporated in the PCPs records. This provides better management and better fees as it meets the needs of HEDIS scoring. It provides better care possibly and in this case the specialist’s input is all the PCP really wants. Should doctors rush into data exchange software?
Just imagine all the bugs in a doctors EHR software and the I would tell a doctor, ” ask yourself two questions: 1) Do you need more bugs and more complexity? 2) If you are in a ACO that will bet its medical outcomes to be enhanced by data exchange, would you tie your financial future into this for 3 years? Remember capitation? ACOs are really capitation with not just the very scary dangerous 1 year contracts that doctors dropped like a hot potato years ago but a much longer 3 year contracts that could do more than burn your fingers!” The lesson may be: Don’t rush into anything congress has just blessed or someone is peddling for profit! Let it prove itself first before you Literally bet your house on it! We have enough people in bankruptcy in America today!
A while back, Forbes called Monsanto “company of the year!” Sure why not all they do is poison the food supply with GMO crops, cause death and disease with Roundup Pesticide and pay millions to congressmen that vote to keep you from knowing what food is Genetically modified (gmo). I believe that Money can buy you any “honor” you desire at Forged Magazine (oops I sure meant Forbes).
The latest scandal at Forbes is their vote for the new American hero, Mr Hamm, the guy who by being the biggest in Fracking (dumping poisoned water full of toxic chemicals down into the Earth (where it gets into your Aquifer’s drinking water) is supposed to have restarted America’s growth by getting lots of oil for us. Well, if you have not noticed, Oil prices are up not down…… hmm. In the mean time it is not just stupid science (you can find a scientist who will discover anything for enough money) to think that Fracking is is not poisoning our well water but now we learn it is causing Earthquakes! What a surprise! Did Forbes miss out on this little issue? Thousand dollar bills in your face can after all blind you. Read this article and learn what Mr Hamm is really doing and what Forbes conveniently did not do or read research on.
More than 230 earthquakes with a magnitude greater than 3.0 have shaken the state of Oklahoma already this year. Before 2008 the state averaged one such quake a year. The surge in seismic activity has left residents and experts alike wondering about the underlying cause……..Read More!
Forbes Magazine….. a second opinion for the doctors.… read more!
AMERICAN VALUES: In my closet hangs my Dad’s WWII Uniform and a box full of medals. He belonged to the GREAT GENERATION. My friend Steve Ross says they were great for many reasons but the most salient being as he says, “They were told as they approached Normandy’s Shores on troop carrying boats, that that they would walk into a hale of bullets and bombs. If the guy in front of them fell down, they were to pick up his weapon, hold it above their heads with their own, so it would not get wet and could be fired, and hurry forward! They ran out into the hale of bullets and near certain death because they were God Fearing People with God Given Values that they would die for, so their children might not be prisoners to the totalitarian Nazi soulless monstrosity! After all the Nazis were exterminating humans in a way we would never treat animals!’ They achieved what few men could have truly believed and created a world of prosperity and blessings for their children, who later turned a blind eye to values.
INVISIBLE SOULLESS ROBOTS (Asimov): The less than great generation followed and were conquered with very few bullets and very little fight! The occasionally make protest like noise but scamper away at the first sign of challenge. They could most often not see their enemy and now it even looks like leadership to some. Without the laws of Robotics (the 10 commandments for robots) entities with human rights and superhuman rights have proliferated. See if you can find them, Asimov would have had no problem!
Eisenhower warned us. A bullet through Kennedy’s head made Johnson president and gave oil companies and arms makers, greater power in America’s future. Viet-Nam taught us how much government could suppress protests, remember Kent State.
Pesticide causes cancer but it is good enough for the feudal peasants.
Monsanto modifies genes but you cannot be allowed to know where, when, how or with what consequences; you are now the lab rat for its tests.
Chickens in cages scream from birth to death and are unheard, until your family member dies from the disease it gave birth to in its eggs. SmithField’s pigs are born and live in an environment that would make Treblinka, Auschwitz-Birkenau commandants proud.
Corporations are “blessed” by The “Supreme” Court and its church leadership by being defined as people with rights greater than that of ordinary citizens (hint).
Corporations can be “American Based” while making everything over seas. So they can financially destroy your jobs future, your future retirement, your families future, while your children fight for the corporate rights to do so on foreign soil, in undeclared wars. Remember Eisenhower’s warning? What laws of Robotics define the actions of the invisible automatons, whose rights, powers and influence turn you and your family into chickens in a factory farm?
How did we get so far away from the values of the Great Generation? Why are we laying down our arms and surrendering? Why do we grant powers to automatons that make Godzilla look small? Can you see the power of money, bribery and your eyess blinded by TV hypnosis?
Can we change from our current Oligarchy back to a people’s republic, one nation under God with liberty and justice for all?
Reality science fiction (which I have just coined as a name), is unimagined economic and social forces as devastating as our “Shock And Awe” campaign in Iraq, that are invisible to the naked eye. It is tornado like forces that others see as if they were late fall winds whisking leaves from trees.
As I live outside the box, I see the tornadoes before those inside and so decided to show others the evidence and offer them an opportunity to build and Arc with me and others like me. So instead of writing Sci-Fi for the last 8 months I have been a researcher, writer and director, on stage, creating Sci-Fi Reality Theater performance (one way too real but too sci-fi to be my America.).
As many of you know, I have not posted a lot lately or completed any new sci-fi publication as books. As some of you know, I am also and eye doctor who has taken a unique challenge in dealing with the impact of ObamaCare on our health care system.
I have led the founding of the NYIPA, a group of doctors forming an Independent Practice Association, IPA. An IPA could be defined as a tool that allows doctors to organize as a single groups that provides medical services to buyers. In my vision it is a tool to help doctors survive the premeditated destruction of all they have worked to achieve, by the corruption in Washington that has turned America from a Republic into an Oligarchy. In so doing, I have written miles of text that describes this Reality Sci-Fi Theater as it is being enacted on the streets of our nation.
Here is one of my favorite essays, Peering Over The Professional Precipice, much of which I stole (with permission) from my colleagues in Ct.
What is the Sci-Fi like reality behind ObamaCare that makes it worth such a diversion from my favorite topic of traditional Sci-Fi? It is the mass cultural hypnosis that Washington has been able to achieve to get our countrymen to allow a financial give away, much like TARP, to corporations that have underfunded health care and over-funded CEOs. It is the ability of an Oligarchy to siphon the blood of its civilians while promising weigh loss with no need for dieting.
One of the key features of this charade is EMR (electronic medical records). Emr is promised as the solution to health care’s inefficiency. You know what it is as it has replaced your doctor’s attention at all your medical visits over the last few years. It is why you doctor does not know your face when you visit him or her, but rather a screen full of data that is supposed to be you. In Sci-Fi EMR will work and in reality it is a give away to insurance companies (who elect the president and congress) used to turn a doctor’s patient time into free data entry and secretarial services for Insurance companies.
The devastating effect of EMR and its accompanying accountable care (ObamaCare) has inspired my very short story about EMR Terrorism (posted here on a FaceBook group I started), written for doctors and others, to help them understand the impact of one missile, EMR, in the Shock and Awe campaign of OmbaCare’s reality show.
For those of you who are curious to read it and don’t love FaceBook here is a link to SmashWords for a free copy of ‘How To Kill Your Doctor For Fun And Profit.” So you see I have been writing and I did publish a short story.
This short story is just the beginning of a series on how Bill And Hilary’s Great Adventure, has been recast in the garbs of ObamaCare with the magical pixie dust of EMR to make it seem different. Make no mistake about it, the tornado you take for a wind, is the rebirth of the failed HMO’s and Capitated health care that died a slow death while destroying the lives of many people back in the ’90s.
So…. this has been my diversion, Sci-Fi Reality Theater.
Janr Ssor, (aka Dr Joseph Ross)
Your cellphone is killing you: What people don’t want you to know about electromagnetic fields – http://pulse.me/s/115LDB